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Temporary Use Permit_Nunez_Special Event ',,`1l y.O F O"4 CITY OF OKEECHOBEE L • ��i 55 SE THIRD AVENUE `o ' r': OKEECHOBEE, FL 34974 ;_�. -.. ._ ao;•`` Tele: 863-763-9821 Fax 863-763-1686 %;;5to/is e-mail: permit@cityofokeechobee.com Temporary Use Permit Permit Number: T-25-005 Date(s) of Event: April 26, 2025, 11 AM — 3 PM Permit Expiration: April 26, 2025 @ 11:59 PM Purpose of Request: SPECIAL EVENT Property Owner: Anita's Rental Properties Inc Address: 701 NE 3rd Street City: Okeechobee State: Florida Zip Code: 34972 Applicant: ANITA NUNEZ Applicant's Address: 974 Marlin Drive Jupiter, FL 33458 Phone Number: 863-634-1289 Address of Project: 1011 S Parrott Avenue Current Zoning: Heavy Commercial (CHV) FLU Designation: Commercial (C) Subdivision: Unplatted Lands of the City Restrictions/Remarks: • Contact the Okeechobee County Fire Department at 863-763-5544 to schedule a final field inspection before the event. • All debris must be removed within 24 hours of the expiration date. 7 ezeda 7cv de April 8, 2025 General Services Administrative Secretary Date 4 i -, TEMPORARY USE PERMIT APPLICATION ,, d�,���1r � V� 4_, OTHER TEMPORARY STRUCTURES (666) ?` 14,.r City of Okeechobee -General Services Department _. .., .: 55 SE 3rd Ave,Room 101,City Hall,Okeechobee,FL 34974 i,,' ",; ��' Phone:(863)763-3372 ext.9821 DATE RECEIVED: L{ -I-2 5 DATE ISSUED: U l i l25 APPLICATION NO.: ""t'- 2 S- O05 EVENT DATE(S)&TIME: LI - Z (4,„73- 1 I am FEE:$175.00 Qlon-ProfitICivic Organization DATE PAID: 4/!/25 -3errr Name of Property Owner(s): 14 n,k u- '----Reax.\c:-\ .� (0 re-4-,e S Address: • j'T— S PaCrt-4- IN('- _ Telephone Numbers: !v i Home: Work: Cell: (P',- - 39 - 12Yc'1 Name of Applicant: p,n i 4-6&.. ,Vt4 n e Z Address: Q'7 L/ /7 a r/, h 61' ' ,,c L -c—r" L 33`k Telephone Numbers: c� Home: Work: Cell: OLt,3--(0 4_ 1Zug Future Land Use Map Desigation: tM ale t Ct OA Current Zoning Designation: C4-I V p. Legal Description of Property: V a l (fin 4- I h-1.- -"FenCS • d /t) a1 Ids nc-I-t.Q upil Address of Property: L44 ( S • i�r cX«O4 vre._, /V1, 5 ro* Ave_ Please Explain Type of Use: S pe c i c \ we( + • Briefly describe use of adjoining property North: East: >;cam+Uf"-e.._ South: V..seS1/4c\e;\--\-&-l West: `--k ( 5 •'-PaCr.0-4 Ave Ario-i-e_t Other temporary structures subject to the following regulations: 1.Christmas tree,fireworks and similar seasonal sales operated by a non-profit organizaiton. 2.Carnival,circus,fair or other special event operated by a non-profit organization on or abutting their principal use.(`additional information required) 3.Commercial carnival,circus or fair in commercial or industrial districts. 4.Similar temporary structures where the period of use will not exceed 30 days a year. The Applicant shall: 1.Submit proof of liability insurance,paid in full covering the period for which the permit is issued,in the minimum amount of$1,000,000.00 per occurrence. 2.Have notarized written permission of property owner,if applicant is not the property owner. 3.Remove all debris within 48 hours of expiration of permit. 4.Submit Site Plan,State Inspection Certificates and submit State Annual Permit* City Staff(Please review the a• > ation,at its or spe ial conditions). . ` Business Tax Receipt Verification:....,...- - Date: y*Z/1er,�' / 2.,Fire Department Approval: Date: 9 Police Department Approval: / Date:illf Lip 7S Public Works Department Approval: ) Date: L' 11'/,� Date: !-L—3 —Z Building Inspector Approval i4e0 i '_ ry"r/- Date: �f-l� City Administrator Appr• r S/J� <«< 0 d In I hereby certify that the information o this application is correct.The information In uded�hi�icatii n idf for s and maye City of in Okeechobeesummaryenial processing my request. False or misleading information may be punishable by a fine of up to$500.00 and imprisonment of up tothirty Y C tims y--/- 2�` /J Date Revised 5-13-24 pb �, nature of Applicant i./ Okeechobee County Eire Rescue {';'• x. �1 City of Okeechobee 707 NW 6th Street (4\4 "� �: SS SE 3rd Avenue Okeechobee,FL 34972 ��' **�� Okeechobee,FL 34974 Phone(863)163-5544 ��,1`� Phone(863)763-3372 Tent Permit Application Permit #_ /dA' *Permit is not required for tents less than 900 square feet* In addition to this permit application,three copies of the following must be submitted for approval: ❑ Certificate of Flame Resistance for tent/canopy meeting the flame propagation performance criteria per NFPA 701 Standard Methods of Fire Test for Flame Propagation of Textiles and Films ❑Floor Plan of tent depicting layout,entrances/exits,e and extinguisher locations(hand drawn plans will not be accepted). o Copy of License to sell fireworks(if applicable) Owner Owner Address o Address = City OCity State Zip o State Zip 4.4 Phone( _) Phone( ____) E-mail_ etE-mail g ' Signature Signature Proposed Tent Description Proposed Tent Location Address Tent Size o Open o Enclosed Parcel Identification Number ___ Chapter 11 Special Structures and High- The following requirements are in compliance with National Fire Protection Association(NFPA)101 Life Safety Code, Rise Buildings,NFPA 1124,Chapter 7 Retail Sales of Consumer res erves es These e are e the he minimum minimum requirements approved by the Authors ity Having Jurisdiction (AHJ),Okeechobee County Fire Rescue.The AHJ Please initial next to each statement. be Means of egress,a including essi . but not MEANS OF FIRE EXTINGUISHERS:: imum number of ex is providedishers tfrom the crettaailsales areas shall be not less than three(3)and be readily accessible. tMEANS OF EGRESS:The tent is limited to aisles,doors,and exit dca�en,'tents shall have a all clear opening width of not less than Exit 44 inohea all not be required to be illuminated in tents that are notopen for business after S dark.Exit openingsso EGRESS TRAVEL DISTANCE:Exits unobsas for the retail ucted path of area of tents shall be does not exceed 75 feet that the maximum egress travel distance,measured from the most remote pointE to an WIDTH:Aalong the n be EMERENCY es shall have means iof egress,including exit discharge shalll be illuminated whenever the tteent is occupied.Emergency ligh at all times the tent is ting sha by the ll nc. ot EMERGENCY LIGHTING:The required in tents that are not open for business after dusk. ELECTRICAL:Electrical veto must tent's rated porary electrical system,the conductors shall be provided electrical th physical protectiontors are aced on top of an outdoor against damage caused by surface connect the permanent powerenure pedestrian orR DEPARTMENT traffic.Temporary CES :Anyiporion of the tents shall a tent shall be accessible within 150 feet of a public way or approved access by the fire ply with NFPA 70,National Electric Code. FIRE DEPARTMENT ACCESS: p p shall not be department. COOKING OPERATIONS:Cooking requiring LPG must be outside of the tent pointing away from exposures.Cooking equipment ofanytype permitted within 20 feet of tents used for storage or sale of consumer fireworks.Open flame cooking equipment of any type shall not be allowed within 50 feet of tents used for storage or sale of consumer fireworks. ogled SIGNS: TY: g statingstating SMOKING"EORKS DISCHARGE WITHIN 300 FEinch letters on a contrasting ET"in 4-inch eletters on a contrasting background shall be conspicuously p SECURITY:Signage8 (if applicable). FLAME BREAKS:Tents used shall notbe required consumer pa kageed shall not exceed display dimensions of 4 feet wide,8 feet in length and 6 feet in height.displayed in bins,display racks, n pallets or tables located at the end of Flame breaks and solid display surfaces q a row of displayfixtures. _CLEARANCE TO COMBUSTIBLES:The area located within 30 feet of a tent used for sales of consumer fireworks shall be kept free of accumulated ry grass, dry brush,and combustible debris. DISTANCE FROM FUEL DISPENSING:Tentsk for use of consumer fireworks sale shall not be flammable or combustible liquid,flammabl gas located flammable liquified gas;compessed retail natural dispensing station dispensers;aboveground storage gas- dispensing station dispensers;motor vehicle fuel-dispensing station dispensers. DISTANCE FROM BULK FUEL DISPENSING:e oI Tents for liquid,e of consumer flammable gas,e flammable sales shalll quilled be located within 300 feet of any aboveground bulkstorage e or bulk dispensing N : for the followvehicle or tram PARKING:No motor vehicle or trailer used for the storage of consumer fireworks shall be parked within 20 feet of a tent except when delivering,loading,or unloading fireworks or other merchandise and materials used,stored,or displayed for sale. SEPARATION DISTANCES:Tents fuse he storage a of consumer fireworks.i have a Tents for use of consumerfirewo fireworks shall bee10 feet from vehicle parking.combustibles, other tentsS and C any OFr vehicle or:Teer used g equipment,and electrical cords that an used in conjunction with a tent used for the SOURCES IGNITION:Temporary electrical equipment,battery-poweredP sales of consumer fireworks shall be listed and used in accordance their listing. PORTABLE GNERATORS: generatorl generators el hall be limited to not ing power more tents than 5 gallons.Portable generators shall shall be allowed toause ill Cl Class flammable liquids as fuel, rand the III combustiblecliquid fuel,provided the quantity of such fuel is limited to 2 gallons.Portable generators shall be located not less than 20 feet from the tent.Where generator fuel storage is located not less than 50 feet from a tent for the sale of consumer fireworks. DCrnaanV. A cnnv of the approved ermit shall be on the remises and made available to the AHJ u on re uest. AC ORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/01/2025 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Tonya Stamm-Csr NAME: Milton Carpenter Insurance,Inc. PHONE (561)996-7211 FAX (561)996-2601 (A/C,No,Extl: (A/C,No): 135 S.E.Avenue C E-MAIL tonya@mcarpenterins.corn ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Belle Glade FL 33430 INSURER A: Southern-Owners Insurance Company 10190 INSURED INSURER B: _ Anita's Rental Properties Inc INSURER C: 701 Ne 3Rd St INSURER D: INSURER E: Okeechobee FL 34972-4576 INSURER F: COVERAGES CERTIFICATE NUMBER: 2025-2026 Master COI REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IS EFF LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DDY/YYYY) (MMLDD1YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 A 72658139 03/16/2025 03/16/2026 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY n JECT PRO- LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB CLAIMS-MADE 5065813900 03/16/2025 03/16/2026 AGGREGATE $ 3,000,000 DED RETENTION$ $ WORKERS COMPENSATION •PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Liability for the following location-1011 S Parrott Ave,Okeechobee,FL 34974 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN City of Okeechobee ACCORDANCE WITH THE POLICY PROVISIONS. 55 SE Third Avenue AUTHORIZED REPRESENTATIVE Okeechobee FL 34974 I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD I I i ?Cif reri-(1 -1:3\ar‘ci n at 1 k....-A-4-1-0406- VQI1Lie, ----- - -zt,, eit,1 4,,, - Wa er ----p, tei ,e, jeLl - ---,7( _, .._________ , . i VeaY� p <_ T U 1PI E,h;c Ta6te '';: 0„ 1 o .. I i1,114 +L1 fail CiClif...f----)/• c. i .7 4--- i.re- , N prker-- .